Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.76 / $183.76 / $183.76	Facility		$183.76	$183.76	$183.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.35 / $183.76 / $234.08	Professional		$124.35	$183.76	$234.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.61 / $750.51 / $3,194.57	Facility		$443.61	$750.51	$3,194.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.17 / $282.17 / $282.17	Professional		$282.17	$282.17	$282.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $318.11	Facility		$177.64	$177.64	$318.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $430.50	Professional		$129.68	$177.64	$430.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.60 / $371.28 / $470.56	Professional		$302.60	$371.28	$470.56
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $482.66 / $482.66 / $482.66	Professional		$482.66	$482.66	$482.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $279.83 / $293.83	Professional		$195.88	$279.83	$293.83
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $185.23 / $327.99	Professional		$124.23	$185.23	$327.99